NPI | 1962887273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY p98497) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 020119) |
Enumeration Date | 2015-07-28 |
Last Update Date | 2017-10-12 |